Callahan Victoria, Sutton Matthew S, Gardner Christina L, Prado-Smith Jessica, Kenchegowda Doreswamy, Dunagan Megan M, Gosavi Mrunal, Embong Aizan, Green Courtney, Kamphaugh Hannah, Chen Tammy Y, Long Daniel, Vogel Jodi L, Kosik Ivan, Yewdell Jonathan W, Kristie Thomas M, Clancy Chad S, Burke Crystal W, Roederer Mario, Fox Julie M
Emerging Virus Immunity Unit, Laboratory of Viral Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Sci Transl Med. 2025 Aug 20;17(812):eadt9853. doi: 10.1126/scitranslmed.adt9853.
Alphaviruses are emerging public health threats. Broadly reactive anti-alphavirus monoclonal antibodies (mAbs) have been shown to be protective in mouse models of infection. However, the antibody characteristics that promote in vivo efficacy and dependency on Fc effector functions remain ill defined. Here, we used two vaccine-elicited, broadly reactive, anti-alphavirus mAbs, SKT05 and SKT20, to establish correlates of mAb-mediated protection during Venezuelan equine encephalitis virus (VEEV) challenge. SKT20 required Fc effector functions to prevent lethality. The necessity of Fc effector functions for SKT20 was dose dependent and related to mAb binding potency and pseudovirus neutralization rather than epitope specificity. In contrast, survival mediated by SKT05 when given prophylactically was independent of Fc effector functions and rather was linked to early viral control through egress inhibition. However, control of virus replication and spread with SKT05 at later time points was Fc dependent. Therapeutic administration of SKT05 required Fc effector functions only at 3 days after infection. These findings extended to additional in vivo infection models with alternative VEEV subtypes and with chikungunya virus. Collectively, this study identified binding potency and pseudoviral neutralization as correlates for in vivo efficacy of mAbs and demonstrated that Fc-dependent mechanisms can be leveraged for development of therapeutic mAbs against emerging alphaviruses.
甲病毒是新出现的公共卫生威胁。已证明具有广泛反应性的抗甲病毒单克隆抗体(mAb)在感染小鼠模型中具有保护作用。然而,促进体内疗效的抗体特性以及对Fc效应功能的依赖性仍不清楚。在此,我们使用两种疫苗诱导的、具有广泛反应性的抗甲病毒mAb,SKT05和SKT20,来确定在委内瑞拉马脑炎病毒(VEEV)攻击期间mAb介导的保护作用的相关因素。SKT20需要Fc效应功能来预防致死率。SKT20对Fc效应功能的必要性是剂量依赖性的,并且与mAb结合效力和假病毒中和有关,而不是与表位特异性有关。相比之下,预防性给予SKT05介导的存活与Fc效应功能无关,而是通过出芽抑制与早期病毒控制有关。然而,在后期时间点用SKT05控制病毒复制和传播是Fc依赖性的。SKT05的治疗性给药仅在感染后3天需要Fc效应功能。这些发现扩展到了使用其他VEEV亚型和基孔肯雅病毒的其他体内感染模型。总体而言,本研究确定了结合效力和假病毒中和是mAb体内疗效的相关因素,并证明Fc依赖性机制可用于开发针对新出现的甲病毒的治疗性mAb。